Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-10-08-2
Project Information
Project Identifiers | Project ID: 214511 DEA: 010E0004 EFIS: 0113000091 |
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DIST-CO-RTE-PM | 01-HUM-101-84.4/84.8 |
Award Date | 01/29/2020 |
Closeout Date | 11/22/2023 |
Work Description | BRIDGE RAIL REPLACEMENT. |
Location Description | HUMBOLDT COUNTY NEAR ARCATA FROM JACOBY CREEK BRIDGE TO GANNON SLOUGH BRIDGE |
QA Service Level | 1 (Verified on 11/13/2019) |
Sample Information
Sample Taken Date | 10/08/2021 | Sample Unique Key | 2 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 10/15/2021 |
Sample type | Quality Assurance | A brief description of the sample | (26) #6 HRC 555 Reduced Size |
The quantity of what the sample constitutes | (4) #6 HRC 555 Reduced Size | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Rigoberto | Last name of sampler or witnessed by | Marin |
Title of sampler | Telephone number of sampler | 9515000685 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Camblin Steel | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L133-118-21 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Headed Bars | Production or Authorization Testing | Production Testing |
---|---|---|---|
Rebar Heat Number(s) | 4111946 | Head Manufacturer Lot Number(s) | Lot 1 |
Rebar Size | #6 | Headed Bar Model Name | Type 555 4FG 17 01 |
Size of Head | Reduced Size - 4x | Head Connection Type | Forged |
Head Shape | Circular | Rebar Manufacturer | CMC Rebar |
Head Manufacturer | Camblin Steel Service | Head Fabricator | HRC |
Material Standard Code | ASTM A706 | Headed Bar Unique ID | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-10-08-2-1 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-10-08-2-2 ASTM A970-15e1 (Verified)
DIME Test ID: 2021-10-08-2-3 ASTM A970-15e1 (Verified)